Registered Nurse, Telehealth Care Coordinator

Duties include but not limited to:

Remote Patient Monitoring (RMP) Home Telehealth (HT) Registered Nurse (RN) Care Coordinator executes position responsibilities that demonstrates leadership experience and creative approaches to the management of complex patient care. Care will be provided in the least restrictive most cost-effective manner. HT is a program that applies care and case management principles to coordinate care using health informatics disease management and HT technologies to facilitate access to care and to improve the health of Veterans with the specific intent of providing the right care in the right place at the right time. The HT RN works to improve clinical outcomes and access to care while reducing complications hospitalizations and clinic or emergency room visits for Veterans in post-acute care settings and high-risk patients with chronic and mental health disease. Provides initial and ongoing comprehensive assessment to include a review of systems which establishes a comprehensive plan of care. Triages and assesses all data received from HT patients such as vital signs reported symptoms and question responses. Identifies and intervenes for potential exacerbations of complications to facilitate timely care in Patient Aligned Care Team (PACT) clinic Emergency Department (ED)/Urgent Care (UC) and or/care in the community. The HT RN provides communication and data exchange with community-based providers when there is co-managed care. Provides interdisciplinary consultation and interventions such as with Home Based Primary Care (HBPC) and other non-institutional care programs and venues Mental Health (MH) Social Work (SW) Pharmacy Nutrition etc. The HT RN identifies patients knowledge health factors skills and behaviors that support self-management and identify gaps therein. Provides health care coaching patient education and motivational counseling. Communicates and facilitates with the interdisciplinary team regarding progress to goals; patterns or trends of data symptoms or findings; concerning findings; need for provider assessment and/or interventions. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe quality nursing care. Shares educational findings experiences and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain evidence-based-practice.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Work Schedule: 07:00 -1530
Telework: Ad-hoc at Supervisors discretion
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized

30 Day Hiring Model
The Department of Veterans Affairs is implementing a streamlined 30-Day Hiring Model designed to accelerate hiring while maintaining the highest standards of merit-based selection. This improved process reduces traditional hiring timelines by integrating early coordination faster assessments and efficient pre-employment actions. Applicants can expect a more transparent predictable and efficient hiring journey from announcement to entry on duty.

What Applicants Can Expect

• Expedited Candidate Review Once the announcement closes Human Resources will quickly review applications issue certificates of eligible candidates the day after the announcement closes and refer applicants for hiring manager consideration.
• Quick Interviews & References

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the Required Documents section of this announcement.

Basic Requirements:

• English Language Proficiency. In accordance with 38 U.S.C. 7403(f) no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a masters level bridge program in nursing who have completed coursework equivalent to a bachelors level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005 Appendix G6); OR In cases of graduates of foreign schools of professional nursing possession of a current full active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
• Current full active and unrestricted registration as a graduate professional nurse in a State Territory or Commonwealth (i.e. Puerto Rico) of the United States or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required licensure may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)

• Direct experience with Remote Patient Monitoring or Home Telehealth Care Coordination strong knowledge of remote patient assessment and demonstrated ability of health care coaching patient education and motivational counseling in a virtual care setting.